Active NPI
Ndeye Marieme Ndiaye, FNP
- Family Nurse Practitioner
- Columbia, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 2018045160
- Practice address
- 900 W Nifong Blvd Ste 100
Columbia, MO 65203-4469 - Phone
- (573) 815-6631
- Fax
- (573) 815-6634
- NPI assigned
- Jan 4, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 2018045160 | MO | Primary |
Addresses
Primary practice location
900 W Nifong Blvd Ste 100
Columbia, MO 65203-4469
Mailing address
900 W Nifong Blvd Ste 100
Columbia, MO 65203-4469
Phone (573) 815-6631
Other practice location 1
601 W Business Loop 70 Ste 275
Columbia, MO 65203-2522
Phone (573) 874-0008
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- University of Missouri, Columbia School of Medicine, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
900 W Nifong Blvd
Suite 101
Columbia, MO 65203-4469
Phone (573) 815-6640
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Boone Physician Services, LLC | Current | Accepting new patients |
Locations
1600 E Broadway
Columbia, MO 65201
Phone (573) 632-5000
601 W Business Loop 70
Ste 275
Columbia, MO 65203
Phone (573) 874-0008
900 W Nifong Blvd
Ste 101
Columbia, MO 65203
Phone (573) 499-9009
900 W Nifong Blvd
Ste 100
Columbia, MO 65203
Phone (573) 815-6631
1705 E Broadway
Ste 280
Columbia, MO 65201
Phone (573) 815-7119
Interoperability endpoints
- mariemendiaye@mhccaremail.com
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Multi-Specialty Clinic/Center
- Columbia, MO
- NPI 1760893259
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Columbia, MO
- NPI 1902817844
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1546560000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1677542400000",
"number": "1972076743",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "900 W NIFONG BLVD STE 100",
"city": "COLUMBIA",
"state": "MO",
"postal_code": "652034469",
"telephone_number": "573-815-6631",
"fax_number": "573-815-6634"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "900 W NIFONG BLVD STE 100",
"city": "COLUMBIA",
"state": "MO",
"postal_code": "652034469",
"telephone_number": "573-815-6631",
"fax_number": "573-815-6634"
}
],
"practiceLocations": [
{
"address_1": "601 W Business Loop 70 Ste 275",
"address_purpose": "LOCATION",
"city": "Columbia",
"state": "MO",
"postal_code": "652032522",
"country_code": "US",
"telephone_number": "573-874-0008",
"fax_number": "573-875-5350",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NDIAYE",
"first_name": "NDEYE",
"middle_name": "MARIEME",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-01-04",
"last_updated": "2023-02-28",
"certification_date": "2023-02-28",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MO",
"license": "2018045160",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Columbia, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.